Assessment of dietary exposure to nonylphenol in infant formula retailed in Shanghai / 上海预防医学

ObjectiveTo assess the health risk of dietary exposure to nonylphenol in infants aged 0-36 months through infant formula in Shanghai. MethodsA monitoring of nonylphenol pollution in infant formula was conducted in 2022. A total of 90 samples were obtained from maternal and infant stores， supermarkets， and online stores in Shanghai. Based on the daily consumption data of infant formula， a point assessment method was used to assess the dietary exposure to nonylphenol in infant formula. ResultsThe prevalence of nonylphenol in infant formula retailed in Shanghai was 95.6% （86/90）. The amount of nonylphenol varied from non-detected to 22.70 μg·kg-1， with the mean value of 8.47 μg·kg-1 and the P50 value of 7.77 μg·kg-1. The mean daily nonylphenol exposure （estimated by body weight） from infant formula in infants aged 0-6 months， 7-12 months and 13-36 months in Shanghai was 0.091， 0.068 and 0.054 μg·kg-1， respectively； furthermore， the P95 value of daily exposure （by body weight） was 0.228， 0.152 and 0.119 μg·kg-1， respectively. These amounts were much lower than the tolerable daily intake （TDI） of nonylphenol （by body weight 5 μg·kg-1）. ConclusionThe health risk of daliy nonylphenol intake from infant formula remains low among infants aged 0-36 months in Shanghai.

Dietary exposure assessment of deoxynivalenol in wheat flour and its products sold in Shanghai / 上海预防医学

ObjectiveTo investigate the pollution level of deoxynivalenol （DON） in wheat flour and its products sold in Shanghai， and to assess the health risks of DON exposure for residents in Shanghai who ingested DON from wheat flour and its products. MethodsRisk monitoring data of DON in wheat flour and its products sold in Shanghai from 2017 to 2021 were combined with the consumption data of wheat flour and its products by Shanghai residents. A probabilistic assessment method was used to assess dietary exposure of DON in wheat flour and its products. ResultsThe overall detection rate of DON in wheat flour and its products was 77.3% （1 041/1 347）， with a mean concentration of 226.3 μg·kg-1， P50 of 130.0 μg·kg-1 and a maximum value of 3 080.0 μg·kg-1. The mean daily exposure and 95th percentile daily exposure （by body weight） of DON from wheat flour and its products in Shanghai residents were 0.279 μg·kg-1 and 1.146 μg·kg， accounting for 27.9% and 114.6% of the daily tolerable intake of DON TDI， 1 μg·kg， respectively. The probability assessment results indicated that 6.1% of the whole population in Shanghai had DON exposure exceeding the TDI value. Among them， 12.8% of the population aged 6 years old and below， 16.4% of the population aged between 7 and 17 years old， 3.9% of the population aged between 18 and 59 years old and 3.2% of the population aged 60 years old and above exceeded the TDI value for daily DON exposure through wheat flour and its products. ConclusionCertain populations in Shanghai may face certain health risks from daily DON intake wheat flour and its products. Special attention should be paid to the health risk of daily DON exposure through wheat flour and its products for individuals age below 18 years old .

Health Risk Assessment of PAHs from Wheat (Tritcum specie) Bambara Nut (Vigna subterranea) and Pigeon Peas (Cajanus cajanifolia) Consumed in Nigeria

Polycyclic aromatic hydrocarbons, PAHs are carcinogenic and genotoxic in nature and have been of worldwide concern. This study aimed at determining the PAH contamination levels in types of wheat (Tritcum specie), bambara groundnut (Vigna subterranea) and pigeon peas (Cajanus cajanifolia) commonly consumed in the eastern part of Nigeria and assess the health risk associated with their consumption. The grain samples were analyzed of sixteen priority PAHs using gas chromatography coupled with flame ionization detector, GC-FID after extraction by sonication. Estimation of daily intakes were carried out using adult male and female consumers while margin of exposure was used to assess the health risk applying bench mark dose levels for the indicators-BaP, PAH2, PAH4 and PAH8. The sixteen PAHs were detected in all the analyzed grains. The ∑16 PAHs concentrations (× 10¯²µg/kg) detected ranged from 25.004±20.553 in white pigeon peas to 36.493±20.305 in red pigeon peas. The eight probable carcinogenic PAHs (∑PAH8) detected ranged from 10.913±4.295 to 17.444±7.023 also in white and red pigeon peas respectively. From the estimation of daily intake calculated, the total dietary exposure of male (41.42 µg/kg bw/day) was less than that of female (48.24 µg/kg bw/day) implying that adult female are more exposed. The MOE for adult male individual ranged from 49,893 in pure white bambara groundnut to 392,943 in pigeon peas. While for adult female individual, the values of MOE ranged from 48,110 in bambara groundnut to 336,770 in pigeon peas. The values of margin of MOE obtained for all the indicators were much higher than 10000 which according to EFSA indicate low concern for human health and considered low priority for risk management actions. The PAHs values detected were all below 1.0 µg/kg which is the permissible limit established by EFSA. Based on these facts, these grains are safe for consumption.

Consumo de edulcorantes no calóricos en la población adulta de Argentina / Non-caloric sweeteners consumption in the adult population of Argentina

Resumen Introducción: Los edulcorantes no calóricos (ENC) se utilizan para sustituir azúcares en alimentos y bebidas. Para que este reemplazo sea beneficioso para la salud, la ingesta de cada ENC no de bería superar su ingesta diaria admisible (IDA). El objetivo principal de este estudio es determinar el consumo de aspartamo, acesulfame-K, sucralosa y sacarina en la población argentina de 15 a 65 años y evaluar este consumo en relación con la IDA. Otros objetivos son estratificar el consumo en función de distintas variables sociodemográficas y determinar las principales fuentes de ENC consumidas por la población argentina. Métodos: La muestra fue de 1266 individuos (población urbana 15-65 años), estratificada por región, edad, sexo y nivel socioeconómico. Los datos de ingesta fueron recolectados con dos recordatorios de 24 horas. Resultados: En Argentina, el consumo promedio de sacarina, aspartamo, acesulfame-K y sucralosa está muy por debajo de su respectiva IDA: 8.4%, 3.2%, 2% y 0.3% de la IDA respectivamente. Los consumos máximos reportados tampoco superan la IDA. Hay una mayor proporción de mujeres consumidoras de ENC. La proporción de consumidores de ENC aumenta con la edad. Las regiones noreste y sur presentan el menor porcentaje de consumidores de ENC. Las bebidas constituyen la principal fuente de ENC, seguidas por los edulcorantes de mesa. La contri bución de los alimentos al consumo de ENC es despreciable. Discusión: En Argentina existe un buen margen de seguridad para la reformulación de productos azucarados tendiente a disminuir el exceso de calorías y el consumo de azúcares añadidos.

Abstract Introduction: Non-caloric sweeteners (NCS) are used to replace added sugars in foods and bev erages. For this replacement to be a health benefit, the intake of each NCS should not exceed its Acceptable Daily Intake (ADI). The main objective of this study is to determine the consumption of aspartame, acesulfame-K, sucralose, and saccharin in the argentine population aged 15 to 65 years and to evaluate this consumption in relation to the ADI. Other objectives are to stratify the consumption based on different sociodemographic vari ables and to determine the main sources of NCS consumed by the argentine population. Methods: The sample consisted of 1266 individuals (urban population aged 15-65), stratified by region, age, sex, and socioeconomic level. Intake data was collected with two 24-hour recalls. Results: In Argentina, the average consumption of saccharin, aspartame, acesulfame-K and sucralose is well below their respective ADI: 8.4%, 3.2%, 2% and 0.3% of the ADI, respectively. The maximum reported consumptions do not exceed the ADI either. There is a higher proportion of women who consume NCS. The proportion of NCS consumers increases with age. The Northeast and South regions have the lowest percentage of NCS consumers. Beverages constitute the main source of NCS, followed by tabletop sweeteners. The contribution of food to NCS consumption is negligible. Discussion: In Argentina there is a good safety margin for the reformulation of sugary products aimed at reduc ing the excess calories and added sugars consumed by the population.

Dietary exposure assessment of chlorate in infant formula / 上海预防医学

ObjectiveTo investigate chlorate contamination level in infant formula sold in Shanghai， and to evaluate the dietary exposure risk to infants in Shanghai. MethodsWith the risk monitoring data of chlorate in infant formula sold in Shanghai in 2020， combined with the dietary consumption data of infants， the dietary exposure of chlorate in infant formula was assessed via the point assessment method. ResultsIn 2020， the overall detection rate of chlorate in 120 infant formula samples was 98.3% （118/120）， the mean content was 124.5 μg⋅kg-1， the 50 percentile value was 64.6 μg⋅kg-1， and the maximum value was 1 475.0 μg⋅kg-1. The mean and 95 percentile value of daily chlorate intake from infant formula for infants aged 0‒36 months in Shanghai were 1.10 and 1.84 μg⋅kg-1， accounting for 36.7% and 61.3% of the tolerable daily intake （TDI） of chlorate （3μg⋅kg-1）， respectively. The mean， 50 percentile value and 95 percentile value of daily chlorate exposure of infants in different month-age groups （0‒6 months， 6‒12 months， 12‒36 months） through infant formula were lower than the TDI value. ConclusionThe health risk of daily chlorate intake from infant formula for infants and young children aged 0‒36 months in Shanghai is at an acceptable level.

Target hazard quotient evaluation of selected trace elements in highly consumed crustacean species in Lagos, Nigeria

Crustaceans are known for their trace element bioaccumulation abilities. Muscle tissues of lagoon crab, marine crab, pink shrimp and mantis shrimp marketed for consumption in Nigeria were analyzed for Mn, Fe, Cu, Zn, Hg and Cr levels using standard methods. Muscle levels in mg kg-1 of Mn (0.03±0.00 in lagoon crab), Fe (0.072±0.01 in mantis shrimp), Cu (0.344±0.01 in lagoon crab) and Zn (0.073±0.00 in mantis shrimp) were significantly different (p Cu > Zn > Fe > Mn > Cr. Lagoon crab showed the highest total hazard index among the organisms with 44.80 %, while the least was observed in mantis shrimp with 13.30 %. It is concluded that, as far as human health is concerned, the mean elemental levels in the muscle tissues of the organisms examined pose no danger (THQ < 1).

Risk Assessment of Coumarin Intake in the Norwegian Population

The Norwegian Scientific Committee for Food Safety (Vitenskapskomiteen for mattrygghet, VKM) has at the request of the Norwegian Food Safety Authority (Mattilsynet) conducted a risk assessment of the coumarin intake in the Norwegian population. VKM was asked to assess if any part of the population has a total intake of coumarin that will exceed the tolerable daily intake (TDI). It should further be considered whether an intake of coumarin exceeding TDI 1-2 times a week for several years would represent a risk to the health of the consumer. The assessment has been performed by the VKM Panel on Food Additives, Flavourings, Processing Aids, Materials in Contact with Food and Cosmetics (Panel 4). Coumarin is a naturally flavouring substance in cinnamon and occurs in many plants. The substance can be found in different types of cinnamon to a varying degree. The two main types are Ceylon (Cinnamomum zeylandicum) and Cassia cinnamon (Cinnamomum aromaticum). Cassia cinnamon, which currently is most frequently used in food products on the Norwegian market, contains more coumarin than the lesser used Ceylon cinnamon. Oral intake of coumarin is mostly related to consumption of cinnamon-containing foods or cinnamon as a spice. This includes both direct addition of cinnamon to foods as well as the use of cinnamon oils and other cinnamon extracts by the food industry. Other important sources of exposure could be food supplements based on cinnamon or the use of cosmetic products through dermal exposure, as synthetic coumarin is added as a fragrance ingredient to perfumes, skin gels, lotions and deodorants. It is known from animal experiments that coumarin can cause liver toxicity. It is considered as a non-genotoxic carcinogen in mice and rats. In 2004, the European Food Safety Authority (EFSA) established a TDI of 0.1 mg coumarin/kg body weight (bw), based on a no observed adverse effect level (NOAEL) for liver toxicity in a 2-year dog study. This TDI was maintained when the substance was re-evaluated in 2008. EFSA further concluded that exposure to coumarin resulting in an intake 3 times higher than the TDI for 1-2 weeks was not of safety concern. In order to answer the second question as stated in the terms of reference, the VKM Panel on Food Additives, Flavourings, Processing Aids, Materials in Contact with Food and Cosmetics found it necessary to further examine the data on toxicity of coumarin, which were the basis for the TDI established by EFSA. The most significant hazards of coumarin appears to be liver toxicity, which is well documented, and demonstrated in mice, rats, dogs, baboons and humans, and kidney adenomas in male rats. In a review of human case reports, a small subgroup of the human population appears for unknown reasons to be more susceptible to medical treatment with coumarin. The lowest reported dose of coumarin associated with liver toxicity in humans is around 0.4 mg/kg bw/day. It should be noted that the liver toxicity of coumarin in humans usually is reversible. Since there were no dose-response data for humans, animal data were used in the hazard characterisation. The VKM Panel decided to use the benchmark dose (BMD) approach to determine a point of departure for adverse effects of coumarin. The 2-year chronic toxicity/carcinogenicity study in rats by the US National Toxicology Program (NTP) was chosen for model simulation and BMD/BMDL (benchmark dose lower confidence limit) calculations. The best model fit of the dose-response data combined with the lowest BMDL05 (dose where the response is likely to be smaller than 5%) was seen for increased relative liver weight in female rats, which gave a BMDL05 of 7 mg/kg bw/day (converted from 10 mg/kg bw, 5 times per week). The VKM Panel used the BMDL05 for relative increase in liver weight in female rats to establish a TDI of 0.07 mg/kg bw/day using an uncertainty factor of 100 to account for interand intraspecies variation. The intake calculations for coumarin from food and drinks in this opinion are based on both data from the nationally representative food consumption surveys Norkost, Ungkost, Småbarnskost and Spedkost, as well as on assumed worst intake scenarios of different cinnamon-containing food products. The average coumarin levels found in cinnamoncontaining food categories such as ginger bread, cinnamon buns and similar bakery products, cinnamon-containing cakes, thin pastry with cinnamon and cinnamon-based tea sold on the Norwegian market, were used to calculate the total coumarin intake in different age groups in the population. For the calculation of the coumarin intake from cinnamon powder sprinkled on oatmeal porridge and rice porridge, a coumarin level of 3000 mg/kg in cinnamon powder was used. The frequency of consumption and the amount of cinnamon powder (from ¼ - 1 teaspoon) sprinkled on the porridge were taken into account in the calculations. To assess if any part of the Norwegian population has an intake of coumarin that will exceed the TDI, the different intake scenarios presented in the opinion have been compared with the TDI of 0.07 mg/kg bw/day established by VKM. The main conclusions from the VKM Panel were: The total estimated intake of coumarin for mean and high consumers of cinnamon-containing foods are below the TDI for all age groups when consumption of cinnamon-based tea and porridge with cinnamon was excluded. Children and adults who regularly consume oatmeal porridge sprinkled with cinnamon may exceed the TDI by several folds depending on the frequency of consumption and the amount of cinnamon used. Small children (1- and 2-years old) who have a mean or high consumption of oatmeal porridge may exceed the TDI even if they use moderate amounts of cinnamon powder on the porridge. In a worst case scenario with high consumption of porridge and use of high amounts of cinnamon powder, the estimated coumarin intake could exceed the TDI by about 20-fold. This intake is similar to dose levels of coumarin used in medical treatment of adults and where cases of liver toxicity have been reported. Drinking of cinnamon-based tea, which may have a high content of coumarin, can also result in a total intake of coumarin that exceeds the TDI both for children and adults. Other relevant sources of coumarin are cosmetics and food supplements with cinnamon. The recommended dose of two cinnamon supplements sold on the Norwegian market can lead to an exceedance of TDI in adults. It is not anticipated that children will consume supplements with cinnamon. Cosmetic products (shower gels, body lotions, deodorants and oils) are important sources of coumarin exposure both for children and adults, but quantification of the coumarin exposure from cosmetics was not possible due to lack of data. The VKM Panel concludes that based on the available data, the possibility of an adverse health effect by exceeding the TDI 3-fold for 1-2 times per week for several years cannot be assessed. Generally, a minor or an occasional exceedance of TDI is not considered to increase the risk of adverse health effects. The coumarin intake could exceed the TDI by 7-20 fold in some instances. Liver toxicity may occur shortly after the start of coumarin exposure. Such large daily exceedances of TDI, even for a limited time period of 1-2 weeks, cause concern of adverse health effects.

Edulcorantes no calóricos: características específicas y evaluación de su seguridad / Non-caloric sweeteners: specific characteristics and safety assessment

Los edulcorantes no calóricos son aditivos alimentarios que pueden agregarse a los alimentos y bebidas, en reemplazo del azúcar, para disminuir el contenido energético y el consumo de azúcares libres. Sin embargo, muchos profesionales de la salud manifiestan varios cuestionamientos sobre la seguridad de estos aditivos para el consumo humano. Resulta, entonces, clave que los profesionales de la salud estén familiarizados con las características de cada edulcorante no calórico (estructura química, perfil de absorción, metabolismo y vía de excreción) y con los resultados de las minuciosas evaluaciones de su seguridad previas a su aprobación para que puedan, así, ser fuentes autorizadas de información científicamente sólida para sus pacientes. Este artículo pretende proporcionar una mejor comprensión del proceso de evaluación de la seguridad de los edulcorantes no calóricos antes de su aprobación, lo cual incluye la determinación del nivel de efecto adverso no observado y de la ingesta diaria admisible.

Non-caloric sweeteners are food additives that can be added to food and beverages, in substitution of sugar, thus allowing to decrease energy content and free sugars intake. However, many health care professionals have questioned the safety of these additives for human consumption. Therefore, it is crucial that health care professionals become familiar with the characteristics of each non-caloric sweetener (chemical structure, absorption profile, metabolism, and route of excretion) and with the findings of the detailed safety assessments done prior to their approval, so that they can be a reliable source of scientific information for their patients. The purpose of this article is to provide a better understanding of the safety assessment process of non-caloric sweeteners prior to their approval, which includes determining the non-observed adverse effect level and the acceptable daily intake.

Valoración e intervenciones nutricionales en pacientes en hemodiálisis / Assesment and nutrition intervention in hemodialysis patients

INTRODUCCIÓN: La desnutrición en pacientes dializados es altamente frecuente siendo de etiología multifactorial. OBJETIVO: Realizar diagnóstico de situación y evolución de Parámetros luego de la intervención nutricional. Metas esperadas a los 6 meses: evaluación nutricional en 100% de pacientes; 70% con valoración global subjetiva (VGS) tipo A; 80% con albúmina ≥3.5 g/dl; 70% con ingesta proteica (nPNA) >0.8 g/kg/día. MATERIAL Y MÉTODOS: Se evaluaron pacientes en diálisis con más de 90 días de tratamiento durante marzo y abril (etapa diagnóstica) y noviembre y diciembre de 2016 (evolución de parámetros); registrando datos personales, antropométricos y de laboratorio, anamnesis alimentaria y VGS. Las acciones nutricionales fueron entrevistas a pacientes y familiares, educación a través de charlas grupales e indicación de suplementos hiperproteicos a pacientes seleccionados según apetito, pérdida de peso y albúmina. RESULTADOS: En etapa diagnóstica se evaluaron 35 pacientes; 18 (51%) tenían IMC >23 y <35, 9 (26%) con nPNA >0.8 g/kg/día. Albúmina ≥3.5 g/dl 24 pacientes (69%). VGS tipo A 16 pacientes (46%), tipo B 12 (34%) y tipo C 7 (20%). Se suplementaron 5 pacientes (14%). En etapa posterior se valoraron 28 pacientes; 11 (39%) IMC >23 y <35. nPNA >0.8 g/kg/día 27 pacientes (96%). Albúmina ≥3.5 g/dl 23 pacientes (82%). VGS tipo A 18 (64%), tipo B 9 (32%) y tipo C 1 (4%). 100% de los suplementados lograron las metas esperadas. CONCLUSIÓN: La valoración nutricional periódica, las intervenciones y la suplementación mejoran los objetivos nutricionales a corto plazo de la población en diálisis

INTRODUCTION: Malnutrition, being a condition with a multifactorial etiology, is very frequent in dialysis patients. OBJECTIVE: TO make a diagnosis of the situation and the evolution of parameters following nutrition intervention. Expected goals after six months: nutritional assessment of 100% of patients; 70% with type A subjective global assessment (SGA); 80% with ≥3.5 g/dL albumin levels, and 70% with >0.8 g/kg/day protein intake (nPNA). METHODS: Patients undergoing dialysis for more than 90 days were evaluated during March and April (diagnostic stage) and November and December 2016 (evolution of parameters), recording personal, anthropometric and laboratory data, food history and SGA. The nutritional actions were: interviews to patients and relatives, education through group talks and indication of hyperproteic supplements to patients selected according to appetite, weight loss and albumin. RESULTS: In the diagnostic stage, 35 patients were evaluated; 18 (51%) had BMI > 23 and < 35; 9 (26%) with nPNA > 0.8 g/kg/day. Albumin was ≥3.5 g/dL in 24 patients (69%). Type A SGA in 16 patients(46%); type B in 12 of them (34%) and type C in 7 (20%). Five patients received supplements (14%). In a later stage, 28 patients were evaluated; 11 (39%) with BMI > 23 and < 35. nPNA; > 0.8 g/kg/day in 27 patients (96%). Albumin was ≥3.5 g/dL in 23 patients (82%). Type A SGA in 18 patients (64%); type B in 9 of them (32%) and type C in 1 (4%). 100% of the supplemented subjects achieved the expected goals. CONCLUSION: Periodic nutritional assessment, interventions and supplementation improve the short-term nutritional goals of the dialysis population

Evaluation of Mineral Contents of Multi-Vitamin and Minerals Currently Sold in South Korea

Dietary supplements are popular worldwide and their use has been increasing. The purpose of this study was to evaluate the mineral contents of multi-vitamins and minerals (MVMs) in most commonly sold among dietary supplements. Ninety popular MVM supplements sold in South Korea were surveyed regarding their characteristics and ingredients including minerals listed on the labels through off-line and on-line search. Daily mineral contents of the MVM supplements were compared with Korean Dietary Reference Intakes (DRIs) by target populations. The average price of 90 MVM supplements was $41.3 per bottle, with a price of $0.9 per day and the average number of minerals contained per supplement was 4.7. A total 14 minerals were found in the MVM supplements including calcium, phosphorus, sodium, potassium, and magnesium. Nine minerals (e.g. calcium, magnesium, and iron) were included in more than 30% of the MVM supplements examined. When daily mineral dose of MVMs was compared to DRIs, calcium was the lowest (34.0% of recommended intake [RI]) and chromium was the highest (218.7% of adequate intake [AI]), and zinc, copper, selenium, and chromium were also higher than their RI or AI levels. The daily mineral contents of the 90 MVM supplements were below the tolerable upper-intake level, but some minerals were higher than RI or AI with high variance among products. Therefore, there is a great need to educate the public for the adequate selection and use of MVM supplements based on the contents of MVM supplements and individual's mineral intake derived from the diet.

Levels of polychlorinated biphenyls (PCBs) in whole milk powderand estimated daily intake for a population of children / Níveis de bifenilos policlorados (PCBs) em leite em pó integral e ingestão diária estimada para uma população infantil

ABSTRACT: Polychlorinated biphenyls (PCBs) are chemical contaminants classified as persistent organic pollutants. Although, their use has been banned for several decades, PCBs are still scattered in the environment and; therefore, all living organisms may be exposed to these compounds. Diet, especially fatty foods such as milk, has been recognized as one of the main sources of human exposure to PCBs. Hence, the aim of this study was to evaluate the residual levels of indicator PCBs in whole milk powder consumed by preschool children in the Municipality of Imbé, State of Rio Grande do Sul, Brazil and to determine the estimated daily intake of these PCBs through this food. Analyses were performed by GC-μECD and the results were confirmed by GC/MS. The PCBs 28, 52 and 153 displayed values ​​below the limit of quantification. The PCBs 138 and 180 showed mean values of 0.073 and 0.157ng.g-1 lipid, respectively. These values were below the reference limits established by the European Community. The estimated total daily intake of PCBs was 0.110ng.g-1 lipid of body weight per day, a value lower than that established by the legislations of Belgium and Norway.

RESUMO: Os bifenilos policlorados (PCBs) são contaminantes químicos classificados como poluentes orgânicos persistentes. Embora seu uso tenha sido banido há mais de décadas, os PCBs ainda encontram-se presentes no meio ambiente e portanto, todos os organismos vivos podem estar expostos a esses compostos. A alimentação, especialmente alimentos gordurosos, como leite, tem sido reconhecida como uma das principais fontes de exposição humana aos PCBs. Assim, o objetivo deste estudo foi avaliar os níveis residuais de PCBs indicadores em leite em pó integral consumido por pré-escolares no Município de Imbé, Rio Grande do Sul, e determinar a ingestão estimada desses PCBs por meio deste alimento. As análises foram realizadas em GC-µECD e os resultados foram confirmados em GC/MS. Os PCBs 28, 52 e 153 apresentaram valores abaixo do limite de quantificação. Os PCBs 138 e 180 apresentaram valores médios de 0,073 e 0,157ng.g-1 lipídio, respectivamente. Estes valores estavam abaixo dos limites de referência estabelecidos pela Comunidade Europeia. A ingestão diária total estimada de PCBs foi de 0,110ng.g-1 de peso corporal por dia, valor inferior ao estabelecido pelas legislações da Bélgica e da Noruega.

Consumo excesivo de cafeína y eventuales poblaciones de riesgo / Excessive caffeine consumption and eventual risk populations

La cafeína (1,3,7-trimetilxantina), es uno de los componentes alimentarios más consumidos y estudiados. Aunque un consumo moderado no implica riesgos para la salud, un ingesta excesiva puede conducir a efectos adversos, tales como ansiedad, irritabilidad, palpitaciones e insomnio. Con el propósito de caracterizar el riesgo para la salud en mujeres adultas de 18 a 70 años en Argentina, se abordaron los siguientes objetivos: determinar el contenido de cafeína en cinco bebidas disponibles en el mercado argentino y con estos datos y otros de fuentes bibliográficas estimar la ingesta media diaria de esta sustancia en dicha población para establecer si existen grupos en riesgo, estudiar la relación de dicha ingesta con el lugar de residencia y determinar el aporte de cada bebida y alimento a la ingesta diaria total. La determinación de cafeína se realizó por cromatografía líquida de alta resolución (HPLC). A través de un cuestionario distribuido en la web, se obtuvieron datos de consumo de cafeína de 1947 mujeres que cumplieron el criterio de inclusión. Se encontraron contenidos más altos de cafeína en café expreso (1300 mg/L) y mate cebado (950 mg/L). En el total de la muestra el consumo promedio de cafeína fue de 340 mg/día (5,5 mg/kg/día), excediendo, el 31% de las participantes la ingesta recomendada de 400 mg/día. De las mujeres en edad fértil, el 37% excedió la ingesta de 300 mg/día y el 52% la de 200 mg/día, recomendadas durante la gestación y la lactancia. En el percentil 90 estas mujeres consumieron 851 mg/día y 775 mg/día de cafeína, respectivamente. El mate cebado y el café resultaron los mayores contribuyentes a la ingesta diaria de cafeína en este grupo de mujeres y en la muestra total. Se encontraron diferencias regiona­les en el consumo del mate cebado, resultando Misiones y Corrientes las provincias de mayores ingestas. Si bien el 68% de las personas entrevistadas consumieron dosis moderadas de cafeína, más de un cuarto de las mujeres en edad reproductiva excedió las ingestas recomendadas para el embarazo y la lactancia.

Caffeine (1,3,7-trimethylxanthine) is one of the most consumed and studied food ingredients. Although moderate consumption does not imply health risks, excess intake may lead to adverse effects, such as anxiety, irritability, palpitations and insomnia. In order to characterize the health risk in adult women aged 18 to 70 in Argentina, the following objectives were ad­dressed: to determine the caffeine content in five beverages available in the Argentine market and with these data and others from bibliographic sources estimate the daily intake of caffeine in this population to establish if there are groups at risk; to study the relation of this intake with the place of residence and to determine the contribution of each beverage and food to the total daily intake. The determination of caffeine was performed by high performance liquid chromatography (HPLC). Through a questionnaire distributed on the web, caffeine consumption data were obtained from 1947 women who met the inclusion criteria. Higher caf­feine contents were found in espresso coffee (1300 mg/L) and mate "cebado" (950 mg/L). In the sample, mean caffeine intake was 340 mg/day (5.5 mg/kg/day), with 31% of the participants exceeding the recommended intake of 400 mg/day. Of the women of childbearing age, 37% exceeded the intake of 300 mg/day and 52% the intake of 200 mg/day recommended during gestation and lactation. In the 90th percentile, these women consumed 851 mg/day and 775 mg/day of caffeine, respectively. Mate "cebado" and coffee were the major contributors to daily caffeine intake in this group of women and in the total sample. Regional differences were found in the consumption of mate "cebado", being Misiones and Corrientes the provinces with the highest intakes. Although 68% of the people interviewed consumed moderate doses of caffeine, more than a quarter of the women of reproductive age exceeded the recommended intakes for pregnancy and lactation.

Perchlorate contamination exposure assessment on commercial foods in Shanghai / 上海预防医学

Objective To ascertain the perchlorate contamination level in commercial foods and health risks so as to provide reference for perchlorate standard formulation and risk management.Methods Perchlorate risk survey was done on commercial foods in Shanghai;in combination with the survey results of residents'' food consumption,the exposure assessment on the presence of perchlorate in commercial food was performed by probability assessment approach.Results A total of 80 food samples from 8 food categories were analyzed,including grain,vegetables,fruits,dairy products,meat,eggs,aquatic products and teaand perchlorate detection rate was 78.8% with a mean value as 13.0±26.4 μg/kg.The highest mean value of perchlorates was 59.0±51.9 μg/kg in tea,and the lowest mean value was 3.4±2.3 μg/kg in fruits.With protection of human life and health as the maximum principle (there were supposed to be no losses of perchlorate during food processing),it was found that the estimated average dietary intake of perchlorate from the 8 food categories was 0.25 μg/kgbw.However,the 95 percentile exposure estimates reached up to 0.44 μg/kgbw,which exceeded the tolerable daily intake value of 0.3μg/kgbw established by European Food Safety Authority for healthy adults.Therefore,potential health risk may exist to certain groups of people.Conclusion Due to its high water-solubility,degradation of perchlorate in food processing probably occurs to certain extent.Therefore,there is need to carry out further actual exposure study.

Bebidas energizantes: características de consumo e ingesta de cafeína en adultos jóvenes en Argentina / Energy drinks: characteristics of consumption and caffeine intake of young adults from Argentina

El objetivo de este estudio fue estimar la ingesta diaria media de cafeína a través del consumo de bebidas energizantes (BE) como única fuente, en una población de adultos jóvenes, entre las edades de 18 a 40 años, en Argentina. En el período de marzo a octubre de 2013, los participantes completaron un cuestionario de administración indirecta a través de la web. El 73,8 % de los encuestados consumió BE al menos una vez en el último año y el 74,9 % de éstos la mezcló con alcohol. La ingesta media de cafeína fue de 0,12 mg/kg/día en el total de la muestra, alcanzando valores medios de 0,65 mg/kg/día para los consumidores crónicos y de 5,81 mg/kg/única ocasión para los consumidores agudos. La alta proporción de encuestados que manifestó consumir la mezcla de BE y alcohol y las ingestas medias y máximas de cafeína observadas en consumidores agudos y crónicos, a partir de esta única fuente, hacen prioritario tener estrategias de comunicación de riesgos, para reducir el consumo de alto riesgo y evitar situaciones que puedan poner en riesgo la salud.

The aim of this study was to estimate the average daily intake of caffeine through consumption of energy drinks (ED) as a single source, in a population of youth and young adults, ages 18 to 40, from Argentina. In the period from March to October 2013, the participants filled up a questionnaire of indirect management through the web. 73.8% of the respondents consumed ED at least once in the past year, and 74.9% of them, mixed the ED with alcohol. The caffeine mean daily intake was 0.12 mg/kg/day for the whole sample, reaching values of 0.65 mg/kg/day for chronic consumers and 5.81 mg/kg for acute consumers. The high proportion of respondents who consumed the mixture of ED and alcohol, and the mean and maximum caffeine daily intake from this single source observed in acute and chronic consumers makes it a priority to have risk communication strategies, to reduce high-risk drinking and to avoid situations that might compromise health.

Aflatoxin M1 in pasteurized, UHT milk and milk powder commercialized in Londrina, Brazil and estimation of exposure / Aflatoxina M1 em leite pasteurizado e UHT e leite em po comercializados em Londrina, Brasil e exposicao estimada.

Aflatoxin M1 (AFM1) is found in milk and other excretion products after aflatoxin B1 intake. AFM1 is carcinogenic to humans, and known levels of dairy product contamination is important to understand the risks to which the population is exposed. The occurrence of AFM1 was evaluated in 42 milk samples commercialized in Londrina, Parana State, Brazil and this rate of occurrence was used to estimate this exposure. AFM1 determina tion was ca rried out by ELISA, and was detected in 100 % samples at levels ranging from 0.01 to 0.81 µ g/kg (mean 0.13 µ g/kg). None of the samples p resente d AFM1 above the maximum permitted level by Brazilian Legislation (0.5 µ g/kg for fluid milk and 5 µ g/kg for milk powder). The estimated daily intake (EDI) of AFM1 was evaluated, and the average intake was 0.468 ng/kg body weight (b.w.) for adolescents, 0.384 ng/kg b.w. for adults and 0.559 ng/kg b.w. for the elderly. Values of EDI of AFM1 found in Londrina pose a toxicological risk to the population investigated. To the best of our knowledge, this is the first report on estimat ed AFM1 dietary exposure from Parana, Brazil.

Aflatoxina M1 (AFM1) e encontrada no leite e em outros produtos de excrecao apos o consumo de aflatoxina B1. AFM1 e carcinogenica para humanos, e avaliar os niveis de contaminacao em produtos lacteos e importante para conhecer os riscos aos quais a populacao esta exposta. A ocorrencia de AFM1 foi avaliada em 42 amostras de leite comercializadas em Londrina, Estado do Parana, Brasil, e sua ocorrencia foi utilizada para estimar sua exposicao. A determinacao de AFM1 foi avaliada por ELISA, e foi detectada em 100% das amostras, em niveis variando de 0,01 a 0,81 µ g/kg (media 0,13 µ g kg). Nenhuma das amostras apresentou niveis de AFM1 acima do maximo permitido pela Legislacao brasileira (0,5 µ g/kg para leite fluido e 5 µ g/kg para leite em po). A ingestao diaria estimada (IDE) de AFM1 foi avaliada, e a ingestao media foi de 0,468 ng/kg de peso corporal (p.c.)/dia para adolescentes, 0,384 ng/kg p.c./dia para adultos e 0,559 ng/kg p.c./dia para idosos. Valores de IDE de AFM1 encontrados em Londrina supoem um risco toxicologico para a populacao investigada. Do melhor do nosso conhecimento, este e o primeiro trabalho sobre a exposicao estimada de AFM1 do Parana, Brasil.

Deficiencia de vitamina D en la edad pediátrica. Una oportunidad de prevención / Vitamin D deficiency in childhood: an opportunity for prevention

ResumenLa prevalencia de deficiencia de vitamina D en la población pediátrica ha incrementado en los últimos años y se considera que continúa subdiagnosticada y subtratada. De acuerdo con datos de la Encuesta Nacional de Salud y Nutrición 2006, en México se ha estimado una prevalencia del 16% en niños de 2 a 12 años. La vitamina D desempeña un papel fundamental en la formación y homeostasis del hueso, y consecuentemente en el crecimiento. Su deficiencia se asocia con enfermedades como raquitismo y osteomalacia, y se ha relacionado con otros padecimientos, como obesidad, síndrome metabólico, diabetes, cáncer, infecciones de vías respiratorias y problemas del sistema inmune. En la literatura se han descrito grupos específicos de riesgo para deficiencia de vitamina D en los que el suplemento pudiera ofrecer un beneficio. Actualmente aún hay controversia en definir los niveles séricos de suficiencia, así como la dosis de suplemento. En México, la ingesta diaria sugerida de vitamina D es de 5.6 µg/día (224 UI), que resulta significativamente menor a las recomendaciones en los Estados Unidos y Europa (entre 400 y 1,000 UI). Debido al aumento en la deficiencia de vitamina D en los últimos años y a la falta de consenso con respecto a los niveles de suficiencia de vitamina D (ya que los valores de corte varían de 20 a 30 ng/ml considerados por la asociación de endocrinología), el objetivo de esta revisión fue proporcionar un panorama general del problema en la población pediátrica, así como describir aquellos grupos en riesgo y analizar las recomendaciones vigentes para el suplemento de vitamina D.La deficiencia de vitamina D se ha considerado rara en México, y la falta de evidencia no ha permitido establecer las recomendaciones de ingesta diaria, de acuerdo con el Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Sin embargo, hoy debe reconocerse como un problema de salud, meritorio de atención y acción. Sugerimos que se lleven a cabo estudios prospectivos en nuestro país, donde se establezca la relación entre la deficiencia sérica de vitamina D y la pobre mineralización ósea.

AbstractThe prevalence of vitamin D deficiency in the pediatric population has increased in recent years and continues to be underdiagnosed and undertreated. According to data from the "ENSANUT 2006" (National Health and Nutrition Survey), the prevalence of vitamin D deficiency in Mexico was 16% in children aged 2-12 years. Vitamin D plays a critical role in the formation and bone homeostasis and consequently on growth. Its deficiency is clearly associated with diseases such as rickets and osteomalacia, and it has been linked to other diseases such as obesity, metabolic syndrome, diabetes, cancer, respiratory infections and immune system disease. Specific risk groups have been described in the medical literature for vitamin D deficiency in which supplementation may offer a benefit. Currently, there is still controversy in defining the serum levels of proficiency and dose supplementation. In Mexico, the daily suggested intake of vitamin D is 5.6 µg (224 IU), which is significantly lower than the recommendations in the U.S. and Europe (i.e., between 400 and 1000 IU/day).An increase in vitamin D deficiency has been reported in recent years. There is no consensus regarding the sufficiency levels of vitamin D. Cut-off values vary from 20 to 30 ng/ml. Therefore, the objective of this review was to provide an overview of the problem in the pediatric population and to describe the groups at risk, as well as to analyze the current recommendations for vitamin D supplementation.Vitamin D deficiency was considered rare in Mexico according to the National Institute of Medical Science and Nutrition Salvador Zubirán. Lack of evidence did not help to establish the international recommended daily intake. Currently, vitamin D deficiency must be recognized as a health problem, worthy of attention and action. We suggest that prospective studies are carried out in our country where the relationship between serum vitamin D deficiency and poor bone mineralization will be established.

Bifenilos policlorados em arroz e feijão do estado do Rio Grande do Sul / Polychlorinated biphenyls in rice and beans from Rio Grande do Sul state, Brazil

Os bifenilos policlorados (PCBs) estão entre os poluentes mais tóxicos presentes no meio ambiente, apresentando os alimentos como principal fonte de exposição humana. Com base nisso, este trabalho teve como objetivo determinar os sete PCBs indicadores de contaminação ambiental em 22 amostras de arroz e 18 de feijão do estado do Rio Grande do Sul, Brasil. Além disso, objetivou-se calcular a ingestão diária estimada de resíduos, a partir da contaminação existente no arroz e feijão, assim como determinar o teor de gordura das amostras para correlacioná-lo com os níveis de PCBs. A extração e purificação dos compostos foram realizadas pelo método QuEChERS, seguido de identificação e quantificação por CG-EM. Os PCBs 153 e 101 apresentaram as maiores concentrações médias nas amostras de arroz e feijão, respectivamente. Considerando o somatório dos PCBs, este foi de 4,39ng g-1 para o arroz e de 4,17ng g-1 para o feijão. Quanto à ingestão diária estimada, esta foi de 7,82ng kg-1 e de 3,14ng kg-1 de peso corporal por dia, para o arroz e o feijão, respectivamente. Em relação ao percentual de gordura, o arroz e o feijão apresentaram teores de gordura de 0,32% e de 1,1%, respectivamente. No entanto, a correlação com os níveis de PCBs não foi significativa. Os resultados demonstram que o estado do RS apresenta fontes importantes de contaminação desses resíduos químicos persistentes.

Polychlorinated biphenyls (PCBs) are among the most toxic pollutants in the environment showing foods as the main source of human exposure. Based on this, this study aimed to determine 7 PCBs indicators of environmental contamination in 22 samples of rice and 18 samples of beans in Rio Grande do Sul state, Brazil. Furthermore, this study aimed to calculate the waste estimated daily intake, starting from the existing contamination in rice and beans, as well as wanted to determine the samples fat content to correlate with levels of PCBs. The extraction and purification of the compounds were performed via QuEChERS method followed by identification and quantification by GC-MS. PCBs 153 and 101 showed the highest mean concentration in the samples of rice and bean, respectively. Considering the sum of PCBs in the samples, this was 4.39ng g-1 for the rice and 4.17ng g-1 for the beans. In estimated daily intake, this was 7.82ng kg-1 and 3.14ng kg-1 of body weight per day, for the rice and beans, respectively. Regarding the percentage of fat the rice and beans samples had fat contents of 0.32% and 1.1%, respectively. However, the correlation with the PCBs levels was not significant. The results demonstrate that the State of RS has important sources of these persistent chemical waste contaminations.

Perspectives on Low Calorie Intense Sweeteners with a Focus on Aspartame and Stevia.

The safety of some food additives/E-numbers, including low calorie (intense) sweeteners (LCS), is constantly the subject of dispute and controversy. However, since LCS have been assigned an acceptable daily intake (ADI) and an E-number following extensive assessment of available safety and toxicological data, consumer safety is assured. These substances have been carefully evaluated, for example by the European Food Safety Authority (EFSA), leading to the conclusion that they are essentially safe when consumption is below ADI levels. Although, intake data indicate that general consumption of LCS is relatively low, many people appear to remain concerned about their safety, particularly aspartame (E951). More recently, stevia (steviol glycosides, E960) has been marketed as a “natural” alternative to aspartame. However, it is unclear whether stevia can live up to its promises. With regards to public health, the real risk within our diet is not the safety of food additives, but rather more likely to be the potential impacts of consuming too much energy and/or an unhealthy dietary pattern.

The Efficacy and Safety of Non-Nutritive Sweeteners / 임상당뇨병

High intake of added sugars increases the risk for obesity, type 2 diabetes, and cardiovascular disease. Non-nutritive sweeteners (NNS) are widely used in many beverages and food products to reduce calories and sugar content. NNS have higher intensity of sweetness per gram than caloric sweeteners such as sucrose, corn syrup, and fruit juice concentrates. NNS approved for use have been tested and determined to be safe at levels that are within acceptable daily intake by the Joint Food Agriculture Organization/World Health Organization Expert Committee on Food Additives. The eight items of sweeteners are regulated as food additives in Korea. Dietary intake of the sweeteners was suggested as safety level by the ministry of Food and Drug Safety in 2012. If substituted for caloric sweeteners without intake of additional calories from other food sources, NNS may help consumers limit carbohydrate and energy intake as a strategy to manage blood glucose and weight. Dietitians can provide guidance on the use of NNS that give the desired results in food preparation and use at the table.

Heavy Metal Hazards of Functional Beverages in Nigeria

In spite of an explosion in brewing and importation of energy drinks in Nigeria, information on the inherent health risks arising from its consumption is scarce. This study investigated the heavy metal hazards of popular energy drinks in Nigeria. Methods: Heavy metals in thirty different brands of energy drinks were analysed using Atomic Absorption Spectrophotometer. Lead, cadmium, chromium, cobalt, and nickel levels in these energy drinks were compared with permissible limits given by World Health Organization (WHO), United States Environmental Protection Agency (US EPA) and European Union (EU). The daily intake (DI) and target hazard quotient (THQ) were calculated. Results: For lead, 66.7%, 3.3%, and 66.7% of the energy drinks violated the WHO, EPA and EU permissible limits respectively; for chromium, only 36.7, 23.3 and 36.7% violated the WHO, EPA and EU permissible limits respectively; and for cobalt, 70% and 86.7% of the energy drinks violated the EU permissible limits. Total Hazard Quotient values for all the drinks were below 1. The estimated/calculated amount of chromium, cobalt, lead and nickel of an energy drink of a consumer who takes an average weekly volume of 1.5 L, (1.5 L of the 3 energy drinks) were 1.3857, 0.8736, 0.1845 and 1.5159 mg/L respectively. Only 33.3% of the energy drinks had negligible levels of daily intake for lead. Conclusion: Lead, chromium, nickel and cobalt levels in some energy drinks in Nigeria are much higher than the permissible limits and continuous consumption may increase the burden of these metals on the body.